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In defense of variation: A neurosurgeon takes on Atul Gawande

Ahilan Sivaganesan, MD
Physician
February 12, 2016

In 2012, celebrated surgeon-cum-writer Atul Gawande penned an incisive essay for the New Yorker entitled “Big Med.” Deliberately provocative, yet disarmingly reasoned, it suggests that American health care should borrow management practices from the Cheesecake Factory.

To set the stage, Gawande paints an unflattering picture of the status quo: medical costs are too high, quality is not reliable, service is often poor, and physicians differ widely in their approaches and outcomes …

Read more…

In defense of variation: A neurosurgeon takes on Atul Gawande

A neurosurgeon remembers the humanity in medicine

Ahilan Sivaganesan, MD
Physician
August 30, 2015

The vast majority of physicians enter medicine with an inborn sense of compassion. Junior residents, however, are the logistical workhorses of teaching hospitals — their north star is efficiency and they are measured largely on their capacity to “get things done.” The consequence is often a slide towards unwitting apathy. I, like all residents, have witnessed this reality first-hand. By reflecting on my experiences, I hope to discover insights we …

Read more…

A neurosurgeon remembers the humanity in medicine

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  • Most Popular

  • Past Week

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